JOB

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					JOB APPLICATION FORM
Please complete this accurately, giving as many details as possible of your skills and experience
relating to this job application. Shortlisting will be based on the information gathered from the
form, read in conjunction with the person specification.

Please ensure the finished form is printed out, signed, dated and returned by the closing date to
the address given on the advert. We are unable to accept forms returned as email attachments
without a signature.
Please either type directly in this form using Microsoft Word or print out and complete the form in
black ink and BLOCK CAPITALS.

GUIDELINES
Applicants will be treated in the same way whether they are external or internal candidates.
Internal candidates should advise their manager that they have applied for another position.

POSITION APPLIED FOR:

 Job title:

 Department/Region:

 Reference number:

 Where did you see this post advertised?

1.        APPLICANT’S DETAILS
 Title:         Surname:                                   First name:


 Home address:




 POST CODE:
 Telephone nos: please include full STD code
 Home:
 Work :
 Mobile (where possible):

 email address (where possible):

 Do you hold a current driving             Yes/No
 licence?

 Is there anything concerning your       Yes*/No
 medical history or state of health      *If you answer Yes please refer to the Equality of
 that is relevant to your application?   Opportunity Questionnaire enclosed

 Are there any restrictions regarding    Yes*/No
 your employment?                        *If you answer Yes please supply details on a separate
 e.g do you require a Work Permit?       sheet of paper
 How much notice do you need to give to your current
 employer?

2. EMPLOYMENT RECORD
Please start with your most recent employment. Briefly describe the main duties and
responsibilities of your post. If you wish to expand on specific areas of responsibility, please do so
in Section 5: Experience /skills.
 1. Current/most recent employer/organisation
 Name:
 Address:
 Job Title:                                                               From:          To:
 Brief description of duties:
 Reason for leaving/changing:
 2. Employer/organisation
 Name:
 Address:
 Job Title:                                                               From:          To:
 Brief description of duties:
 Reason for leaving/changing:
 3. Employer/organisation
 Name:
 Address:
 Job Title:                                                               From:          To:
 Brief description of duties:
 Reason for leaving/changing:
 4. Employer/organisation
 Name:
 Address:
 Job Title:                                                               From:          To:
 Brief description of duties:
 Reason for leaving/changing:
3.    EDUCATION
Please tell us about your education and any qualifications which you feel are relevant to the post.
Include relevant courses which you are currently undertaking. Please start with the most recent.
 Name of school/college/           Subject studied                       Qualification/   Date
 university/training body                                                Level            gained




4.    TRAINING
Please list any training you have received or courses which did not lead to a qualification but which
you feel are relevant to the advertised post.
 Training Course                                                                          Date
5.         EXPERIENCE / SKILLS
This section is for you to give specific information in support of your application. Please set the
information out on a maximum of three sides of A4 paper.
After reading the Job Description and Person Specification carefully, consider to what extent you
have gained the skills and experience necessary for the post. Your experience need not have been
gained in paid employment and may include special interests relevant to the post. It is important
that you provide evidence of your achievements by giving examples to support your application.
You may wish to use the headings in the person specification in order to set the information out
clearly.




6.         REFERENCES
Please give name, address and position/occupation of two referees. One must be your present or
most recent employer. References will only be taken up for the successful candidate. Testimonials
or references from friends and relatives are not acceptable.
 1. Name:
 Position:
 Organisation:
 Address:
 Tel:

 2. Name:
 Position:
 Organisation:
 Address:
 Tel:

7.         CRIMINAL CONVICTIONS

 Do you have any criminal convictions? Yes              No 
 If Yes please give details on a separate sheet, this should exclude any spent convictions under
 Section 4(2) of the Rehabilitation of Offenders Act 1974.

8.         DECLARATION AND SIGNATURE
 The information supplied in this application form is accurate to the best of my knowledge.

 ...................................................................................................................   ................................................
 Signed                                                                                                                   Date
By signing and returning this application form you consent to UNISON using and keeping
information about you provided by you – or third parties such as referees – relating to your
application or future employment. This information will be used solely in the recruitment process
and will be retained for six months from the date on which you are informed whether you have
been invited to interview, or six months from the date of interview. Such information may include
details relating to ethnic monitoring and disability: these will be used solely for internal monitoring
and will not be disclosed to any third party. Thank you for completing the form. Please
print your completed form and return - together with your completed Equality of Opportunity
Questionnaire – to the address given on the advert.

				
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posted:12/21/2011
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